Acceptability and feasibility of a social entrepreneurship testing model to promote <scp>HIV</scp> self‐testing and linkage to care among men who have sex with men

Zhong, Fei; Tang, Weiming; Cheng, Weibin; Lin, Peng; Qing, WU; Cai, Yong Shun; Tang, Songyuan; Liu, Fan; Zhao, Yan; X, Chen; Mao, Jessica; Meng, Gang; Tucker, Joseph D.; Xu, Huifang

doi:10.1111/hiv.12437

Cited by 83 publications

(104 citation statements)

References 25 publications

(30 reference statements)

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“…For example, studies that distributed free HST to MSM using advertisements on Grindr eliminated cost and access as barriers to HST uptake [24*, 25*]. The HST distribution study in China increased access to HST by providing free testing kits (after refund) and addressed additional concerns associated with HST use such as inaccurate interpretation of results and lack of linkage to HIV care [26**]. Approaches focused primarily on HST kit distribution address key overall HIV testing barriers such convenience, confidentiality, and stigma; however, in general they only address HST concerns related to cost and access.…”

Section: Resultsmentioning

confidence: 99%

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Using technology to support HIV self-testing among MSM

LeGrand

Muessig²,

Horvath³

et al. 2017

Current Opinion in HIV and AIDS

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Purpose of review Technology-based HIV-self testing (HST) interventions have the potential to improve access to HIV testing among gay, bisexual and other men who have sex with men (MSM), as well as address concerns about HST use, including challenges with linkage to appropriate follow-up services. This review examines studies that use technology-based platforms to increase or improve the experience of HST among MSM. Recent findings Seven published studies and eight funded studies were included in this review. Comprehensive prevention interventions with free HST kit distribution and interventions that provide free HST kits and support the HST process address a greater number of barriers (e.g., access, correct use of testing kits, and correct interpretation of results) than studies that only distribute free HST kits through technology-based platforms. Summary By addressing HIV testing barriers and specific HST concerns, these interventions address a critical need to improve first time and repeat testing rates among MSM. Additional research is needed to determine the efficacy of recent formative HST interventions. If proven efficacious, scale-up of these strategies have the potential to increase HIV testing among MSM via expanded HST uptake.

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Section: Resultsmentioning

confidence: 99%

“…In Guangzhou, China, Zhong et al developed a social entrepreneurship testing model to increase HST and linkage to care among adult MSM [26**]. Study participants completed an online survey assessing demographic characteristics, sexual risk, and testing behaviors and preferences.…”

Section: Technology-based Platforms To Distribute Hst Kitsmentioning

confidence: 99%

Using technology to support HIV self-testing among MSM

LeGrand

Muessig²,

Horvath³

et al. 2017

Current Opinion in HIV and AIDS

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“…A recent bio-behavioral survey of Ugandan MSM found that 35% had never tested for HIV [6]. HIV self-testing (HIVST), in which an individual performs and interprets his/her own HIV test [8][9][10][11][12][13], is an acceptable and innovative approach that could increase knowledge of HIV sero-status among MSM, and is recommended by the World Health Organization and Uganda Ministry of Health [3,[14][15][16][17][18][19][20][21][22]. In addition, HIVST is convenient since individuals can test at any time, in private, without having to present to a clinic during fixed working hours.…”

Section: Introductionmentioning

confidence: 99%

“…Scaling up access to HIVST could increase testing coverage among MSM with low access to facility-based services [3,6]. Studies in other settings have demonstrated that 82-100% of MSM who test positive after HIVST seek additional testing and more than 80% were linked to treatment [11,24]. However, few studies have evaluated uptake of HIVST among MSM in sub-Saharan Africa [22,24] Novel, effective strategies are urgently needed to increase coverage of HIV testing services among MSM, and promote linkage to prevention, care and treatment services.…”

Section: Introductionmentioning

confidence: 99%

Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study

et al. 2020

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Introduction One-in-three men who have sex with men (MSM) in Uganda have never tested for HIV. Peer-driven HIV testing strategies could increase testing coverage among non-testers. We evaluated the yield of peer distributed HIV self-test kits compared with standard-of-care testing approaches in identifying undiagnosed HIV infection. Methods From June to August 2018, we conducted a pilot study of secondary distribution of HIV selftesting (HIVST) through MSM peer networks at The AIDS Support Organization (TASO) centres in Entebbe and Masaka. Peers were trained in HIVST use and basic HIV counselling. Each peer distributed 10 HIVST kits in one wave to MSM who had not tested in the previous six months. Participants who tested positive were linked by peers to HIV care. The primary outcome was the proportion of undiagnosed HIV infections. Data were analysed descriptively. Results A total of 297 participants were included in the analysis, of whom 150 received HIVST (intervention). The median age of HIVST recipients was 25 years (interquartile range [IQR], 22-28) compared to 28 years IQR (25-35) for 147 MSM tested using standard-of-care (SOC) strategies. One hundred forty-three MSM (95%) completed HIVST, of which 32% had never tested for HIV. A total of 12 participants were newly diagnosed with HIV infection: 8 in the peer HIVST group and 4 in the SOC group [5.6% vs 2.7%, respectively; P = 0.02]. All

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“…The high linkage in that study was likely due to follow-up calls after HIVST distribution, the ease of participant's access to the opinion leaders and also the linkage to a well-trusted MSM-friendly facility that offers HIV prevention services. Studies conducted in other areas reported both fairly low [22] and high [23], [24]. linkage to HIV care and treatment after self-testing.…”

Section: Discussionmentioning

confidence: 94%

What Determines HIV Self-Test Acceptability and Uptake Within The MSM Community in Nairobi and Its Environs? A Cross Sectional Study

Ndungu

Gichangi

Temmerman

2020

Preprint

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Background: Human Immunodeficiency Virus self-test (HIVST) refers to a process where a person collects his or her own specimen (blood or oral), performs a test and interprets the results. The interpretation of results can either be done in private or through support of a trusted partner. Self-test should be seen as screening and confirmatory test should be sort.Study Objective: To determine facilitating factors for HIVST acceptability and uptake among MSM community.Methods: The researcher employed a cross-sectional exploratory study design, targeting men who have sex with men (MSM) and men sex workers (MSW). The researcher used purposive sampling to identify the sites where data was collected, snowballing techniques were then employed to reach the respondents. Results: There was a significant association between self-test and frequency of testing for HIV/AIDS at P-Value of 0.011. Eighty three percent (83%) of the respondents had a negative HIV test result, (16%) had a positive result from the previous result. Most of the MSM will seek for confirmatory test, if tested HIV positive through HIVST. Majority of the MSM respondents indicated they would go for counselling after testing positive. Healthcare workers advocated for pre-testing counselling. There was also a significant association between respondents who had never tested using self-test kits and the need for a treatment “buddy” with a P- Value of 0.014. Fifty nine percent of the respondents would prefer blood sample test kits, the kits were seen to be more accurate than oral test kits. High cost of the self-test kits and inadequate knowledge on the use of HIV self-test kits were the main hindrances to HIVST uptake.Conclusions: A significant number of MSM community in Kenya are willing to use HIVST and are likely to seek for care within 30 days of self-testing and this is a good indicator of linkage. Blood sample kits are more preferred. Key facilitating factors for HIVST uptake include; awareness creation on the importance of HIVST and training on usage of kits, emphasis on treatment ‘buddy” for first time testers and reduction on cost of the kits.

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Acceptability and feasibility of a social entrepreneurship testing model to promote HIV self‐testing and linkage to care among men who have sex with men

Cited by 83 publications

References 25 publications

Using technology to support HIV self-testing among MSM

Using technology to support HIV self-testing among MSM

Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study

What Determines HIV Self-Test Acceptability and Uptake Within The MSM Community in Nairobi and Its Environs? A Cross Sectional Study

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